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Resources RTLD Reference Manual

Resources and References for HIV Rapid Testing in Labor & Delivery

Background information on perinatal HIV transmission; sample protocols, policies and procedures; extensive provider and staff training resources; patient education materials

Project Highlights & Information

• Welcome, Overview & PAETC Contacts
• RTLD Standard of Care, Suggested Benchmarks and Resources
• Antiretroviral Medications to be Stocked in Hospital Pharmacy
• RTLD Live Action Drill Training Tool
• Online Training Module: Rapid Testing for HIV at Labor and Delivery
• National Perinatal HIV Hotline & Clinicians' Referral Network

Perinatal HIV Transmission & Prevention

• CDC Fact Sheet: Mother-to-Child (Perinatal) HIV Transmission and Prevention
• CDC Fact Sheet: Reducing HIV Transmission from Mother-to-Child - An Opt-Out Approach to HIV Screening
• AAP Policy Statement: HIV Testing and Prophylaxis to Prevent Mother-to-Child Transmission in the United States
• Prenatal Screening for HIV: A Review of the Evidence for the U.S. Preventive Services Task Force

Rapid HIV Testing in Labor & Delivery ("RTLD")

• CDC Fact Sheet: Rapid HIV Testing of Women in Labor and Delivery

Sample RTLD Protocols, Policies & Procedures

• Sample Protocol: Identification and Treatment of HIV Positive Women in the Office Setting
• CDC's Rapid HIV Antibody Testing During Labor and Delivery for Women of Unknown HIV Status: A Practical Guide and Model Protocol

Rapid HIV Antibody Tests: General & Laboratory Considerations

• Rapid HIV Tests Currently Available in the United States
• FDA-Approved Rapid HIV Antibody Screening Tests Comparison Charts
• CLIA Certificate of Waiver Fact Sheet & Sample Completed Form [CDC]

Provider & Staff Training Resources

• HIV Testing in L&D Competency Document
• RTLD Live Action Drill Tool
• Online Training Module: Rapid Testing for HIV at Labor and Delivery
• CDC One Test, Two Lives Campaign
• Prevention of Perinatal HIV Toolkit (CA Perinatal Quality Care Collaborative)
• Handout: The Basics of HIV Screening and Testing
• Handout: Guidelines for Use of HIV Antiretroviral Therapy in Pregnancy
• Handout: HIV Testing Information and Resources for California Clinicians
• Handout: When Pregnant Patients are Unsure About HIV Screening - Communication Guide [CDC]
• Slide Set: HIV Counseling and Rapid Testing in Labor [AETC NRC]
• Slide Set: Implementing RTLD in San Diego County [M. Caffrey, RN]
• Slide Set: Missed Opportunities of Rapid HIV Testing in Labor & Delivery [NCCC Perinatal HIV Hotline]
• Slide Set: Rapid Testing in Labor & Delivery [A. Stek, MD]
• Sample Script for Routine Prenatal and 3rd Trimester HIV Testing in the OB Outpatient Setting
• HIV Rapid Testing in the Labor and Delivery Setting: Provider Guide to Discussion

Patient Education Materials

• AIDSInfo Facts: HIV During Pregnancy, Labor and Delivery, and After Birth - Health Information for HIV+ Pregnant Women
• AIDSInfo Facts: HIV During Pregnancy, Labor and Delivery, and After Birth - Health Information for HIV+ Pregnant Women (Spanish)
• Bay Area Perinatal AIDS Center (BAPAC) Prenatal Care (English & Spanish)
• Protecting Yourself and Your Baby: CDPH Form 8682 - Perinatal Information Sheets in 12 languages
• SFGH Rapid HIV Testing on L&D Information Sheet for Patients (English)
• SFGH Rapid HIV Testing on L&D Information Sheet for Patients (Spanish)
• SFGH HIV Rapid Diagnostic Test: Information for Patients Who Test Positive (English)
• SFGH HIV Rapid Diagnostic Test: Information for Patients Who Test Positive (Spanish)
• SFGH HIV Rapid Diagnostic Test: Information for Patients Who Test Positive (Chinese)
• Take Care of Yourself and Your Family After Your Baby is Born: Patient Education Brochures

California HIV Testing Legal & Reporting Information

• California HIV/AIDS Laws
• CDPH-OA Policy Letter: Elimination of Written Consent Requirement for Medical Care Provider-ordered HIV Tests
• CDPH-OA Policy Letter: Recent Changes in California Law Regarding HIV Testing for Pregnant Women
• CDPH-OA General Letter: Recent Passage of AB 682 - Providing for HIV Testing in Medical Settings without Written Consent
• CDPH-OA Frequently Asked Questions about HIV Testing by Medical Care Providers in Health Care Settings
• CDPH-OA HIV Reporting Information

Perinatal HIV Antiretroviral Therapy Guidelines

• Antiretroviral Medications to be Stocked in Hospital Pharmacy
• Recommendations for Use of Antiretroviral Drugs in Pregnant HIV-1-Infected Women
• AAP: Evaluation and Management of the Infant Exposed to HIV-1 in the United States

Additional Resources

• Coding Guidelines for Routine HIV Testing in Health Care Settings
• CDPH-OA HIV Testing Resources
• Revised Recommendations for HIV Testing of Adults, Adolescents, and Pregnant Women in Health-Care Settings [CDC]
• Local Health Jurisdictions Perinatal Services Coordinators Contact List [CDPH]
• Maternal, Child & Adolescent Health Directors Contact List [CDPH]